Individual
DR. BISSOONLALL B BOODHOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19021 JAMAICA AVE STE C, HOLLIS, NY 11423-2547
(718) 776-3400
(718) 776-3403
Mailing address
19021 JAMAICA AVE STE C, HOLLIS, NY 11423-2547
(718) 776-3400
(718) 776-3403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041095
NY
Other
Enumeration date
05/07/2007
Last updated
02/16/2015
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